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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(5):966-971.
Effects of Therapeutic Exercise on Patients with Osteoarthritis of Knee.
Na, Young Moo , Seok, Hyun , Park, Yoon Ghil , Seo, Cheong Hoon , Seong, Yeon Jae , Park, Jong Ryool , Moon, Jae Ho
1Department of Rehabilitation Medicine and Rehabilitation Institute of Muscular Disease, Yonsei University College of Medicine.
2Department of Rehabilitation Medicine, Inje University College of Medicine.
슬관절 골관절염 환자에서 운동치료의 효과
나영무1, 석현, 박윤길, 서정훈, 성연재, 박종률, 문재호
연세대학교 의과대학 재활의학교실 및 근육병 재활연구소, 1인제대학교 의과대학 재활의학교실
Abstract

Objective
To investigate the effect of therapeutic exercise on patients with osteoarthritis of knee in view of functional capacity.


Method
The subjects were 80 patients with osteoarthritis of knee. Patients were randomly allocated to exercise or no exercise (control) group. Osteoarthritis was diagnosed on the base of clinical features, X ray findings. Therapeutic exercise was consisted of quad-setting exercise, isokinetic exercise, squatting exercise. Effects of therapeutic exercise were evaluated by muscle function, functioal performance and degree of pain.


Results
In exercise group, muscle function such as torque and endurance of extensor and flexor of knee were increased significantly compaired with control group (p<0.05). Increment was more apparent in extensor. In both group, pain was decreased but more apparent in exercise group (p<0.05). Functional performance was assessed in terms of dependency, difficulty and amount of pain. Exercise group showed improvement of functional performance in walking inside, climbing stairs (p<0.05) but control group did not show improvement. Seventy percent of patients with osteoarthritis of knee showed increment of body weight above 10 kg compaired with their twenties.


Conclusion
When we manage the osteoarthritis of knee, therapeutic exercise should be included in the treatment regimen as well as physical and medical therapy.

Key Words: Osteoarthritis, Exercise, Muscle function, Functional performance, Pain


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